DANIELLE MARIE SOUTHERLAND DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157302

License Status

ACTIVE

Business

Title

First Name

DANIELLE

Middle

MARIE

Last Name

SOUTHERLAND

Business Name

DANIELLE MARIE SOUTHERLAND DO

Original Issue Date

06/07/2021

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/28/2023